Informed consent and respecting autonomy--what's a signature got to do with it?
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There is continuing national and international debate with reference to autonomy and the right to choose the manner and time of our death. It is now recognised that human life has a natural end and that, as such, it should not be preserved simply because a treatment exists. Three cases are briefly discussed which raise the issue of whether or not we should be permitted by law to choose how and when to die. The ethical principle of autonomy and the influence of religion are considered. Central to the debate about end-of-life choices is the recognition that not all persons can be healed and not all suffering can be relieved.
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The article analyses the concept of the quality of life comparing two different ethical approaches, that is "catholic" personalist bioethics and "lay" bioethics. As regards the oncological field, personalist bioethics defends the respect for life as an absolute value (sanctity of life), while "lay" bioethics focuses attention on the patient's autonomy. The authors think that in oncological therapies the subjective evaluation of the patient must be taken into consideration as the expression of his/her personal concept of the quality of life, always with priority of the respect of life.
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The purpose of this essay is to present a bioethical approach to the abortion dilemma in adolescence. It is addressed to health workers involved in the medical care of adolescents and to those involved in adolescent counseling. The introduction presents an overview of the subject in the U.S.A., its medical significance (obstetric, gynecologic, psychologic) as well as some anthropological historico-legal data relating to adolescent abortion. This is followed by a practical description of ethical theory. The main body of the presentation consists of a review of the most important contributions of bioethical thought as they relate to abortion. Adolescent abortion in particular is addressed in the context of issues such as autonomy, rights and responsibility. This includes a description of moral development in adolescence and an analysis of moral aspects of treatment of adolescents. Some personal comments and propositions are made, with the aim of generating further contributions.
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